| NPI | 1962277384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA OWUSU Owner/Agency Administration 703-981-4535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |